Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $27.29 / $8,761.77	Facility		$14.84	$27.29	$8,761.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.16 / $53.11	Professional		$13.49	$14.16	$53.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $21.78 / $101.35	Facility		$14.76	$21.78	$101.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.84 / $102.03	Professional		$13.49	$14.84	$102.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $13.45 / $32.61	Facility		$12.72	$13.45	$32.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.54	Professional		$13.49	$13.49	$16.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $22.12 / $58.99	Facility		$13.49	$22.12	$58.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.68 / $51.27	Professional		$13.49	$22.68	$51.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.83 / $70.00	Professional		$13.49	$14.83	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $15.27 / $35.11	Facility		$13.12	$15.27	$35.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $24.49 / $41.32	Facility		$13.28	$24.49	$41.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $17.13 / $30.96	Professional		$14.97	$17.13	$30.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $20.42 / $38.11	Facility		$13.61	$20.42	$38.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.84 / $16.19	Professional		$13.49	$14.84	$16.19
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.19	Professional		$13.49	$13.49	$16.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $13.49 / $13.49	Professional		$13.45	$13.49	$13.49